Brat: New ObamaCare repeal bill has 'significant' changes

Donald Trump meets with Speaker of the House Paul Ryan on Capitol Hill in Washington. Given the Republican divisions, the White House has said it would submit its own tax proposal to Congress but it was unclear when that might arrive.

House Republicans are putting together another legislative package to replace the Affordable Care Act that GOP leaders hope can win enough support within their party to ensure passage, Politico reported.

President Donald Trump, at a press conference on Thursday with the Italian Prime Minister, remained optimistic that Congress would advance legislation to repeal the health law despite the setbacks the House has endured.

And yet, as a senior GOP aide told Business Insider's Bob Bryan: "The question is whether it can get 216 votes in the House and the answer isn't clear at this time". "This will be done in 2017, that is our time line, we would like to get it done as soon as possible", Ryan told reporters during a visit to London that was part of a multi-nation trip aimed at strengthening USA economic and security ties with North Atlantic Treaty Organisation allies.

Moderate and hard-right Republicans may have finally reached a deal on Trumpcare 2.0, but their latest health care plan would cause premiums to skyrocket for people with pre-existing conditions, according to a new report from the Center for American Progress.

They cited the higher priority of passing a spending bill within days to avert a government shutdown, uncertainty over details of the developing health agreement and a need to sell it to politicians. That's because the American Health Care Act was killed in part because it rolled back Medicaid coverage for millions of low-income people, something moderate Republicans opposed. This comes as Freedom Caucus Chairman Rep. Mark Meadows and Tuesday Group Co-chairman Rep. Tom MacArthur neared an agreement this week to try to sell to their colleagues. Vice President Mike Pence, Office of Management and Budget Director Mick Mulvaney and White House Chief of Staff Reince Priebus have spearheaded the renewed efforts to help Republicans negotiate a deal they all feel comfortable supporting.

It would deliver a win to moderates by amending the GOP bill to restore Obama's requirement that insurers cover specified services like maternity care.

The amendment that Meadows and MacArthur were working on would generally maintain large portions of the health care law - like the ban on insurers denying coverage to individuals with pre-existing conditions - but would allow states to apply for a waiver to opt out of some requirements, according to a one-page summary obtained by CQ Roll Call. States could request an exemption from the existing health law's "community rating" rule meant to ensure that people with preexisting conditions could not be charged prohibitive premiums - but only if those states establish a high-risk insurance pool where such consumers could purchase government-subsidized insurance.

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For instance, states could choose to put people with pre-existing conditions in "high-risk pools".

Speaking on CNN's "New Day" Friday, Brat, a Virginia Republican and member of the conservative Freedom Caucus, also casually dismissed concerns over the Republican divisions that spoiled the GOP's last attempt at repealing and replacing Obamacare.

He said that assuming the outline is translated into legislative text he backs and is added to the health care bill, he would now support the legislation and believes most of Freedom Caucus' three dozen members would also back it.

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